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Workshop Registration Form


You may register for CLAS Outreach Workshops on line by filling out the information request edbelow and clicking on SUBMIT or by mailing, faxing, or emailing the following information to:


Rosalind Santavicca

Outreach Coordinator

Center for Latin American Studies

4E22 Posvar Hall

Fax: 412/648-2199

Email:  alinda@pitt.edu


Workshop Title:

Name:


E-mail:


School:


Full Home Mailing Address:


Home Telephone (include area code):


Work Telephone:


Subject Taught:


Grade Level: